ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client admitted to a medical-surgical unit for surgery has a history of Cushing's syndrome. Which physical assessment finding would the nurse expect to observe?
Correct Answer: A
Rationale: Buffalo hump and moon face are expected in Cushing's syndrome due to fat redistribution from excess cortisol. Dry skin suggests hypothyroidism. Dry mucous membranes suggest dehydration. Exophthalmos and tachycardia suggest hyperthyroidism.
Question 2 of 5
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there have not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Determining tubing patency first addresses potential obstructions. Antispasmodics, notifying the provider, or offering fluids do not resolve the immediate issue.
Question 3 of 5
A nurse is caring for a client who complains that he feels as though his ear is blocked and tells the nurse that he has a history of cerumen impaction in the external ear. The nurse, inspecting the ears for cerumen impaction, checks for which finding?
Correct Answer: B
Rationale: Yellowish or brownish waxy material indicates cerumen impaction. Edema suggests otitis externa. Redness of the tympanic membrane suggests otitis media. A longer canal is a normal variation.
Question 4 of 5
The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?
Correct Answer: D
Rationale: Parkinson's is caused by dopamine depletion and acetylcholine excess, affecting movement control. Low acetylcholine suggests myasthenia gravis. Myelin sheath deterioration suggests multiple sclerosis. Excess dopamine is incorrect.
Question 5 of 5
A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
Correct Answer: A
Rationale: Urine output of 800 mL/hr indicates diabetes insipidus due to large amounts of diluted urine from ADH deficiency. Blood glucose of 198 mg/dL suggests diabetes mellitus. Serum sodium of 145 mEq/L is normal. Urine specific gravity of 1.028 indicates concentrated urine.